| NPI | 1184043168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA L BERGTHOLD Child And Adolescent Therapist 214-693-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 17987) |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2014-04-07 |