| NPI | 1184305773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA ELISABETH SMITH Lpc/Counselor 817-614-6254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |