| NPI | 1164153391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR DAUTAJ Owner, Lpc 817-296-4552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2022-11-07 |