| NPI | 1134983828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA JONES Dialectical Behavior Counselor 469-693-3589 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 405300000X Prevention Professional |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |