| NPI | 1134843352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANDREKA HALL Psychotherapist 682-233-2415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-09-30 |
| Last Update Date | 2024-01-19 |