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 |