| NPI | 1154008696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JOBE Lpc/Owner 214-773-6404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-06-28 |