| NPI | 1194105957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN SHULL Owner 214-755-7504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103K00000X Behavior Analyst | |
| 106H00000X Marriage & Family Therapist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2024-04-08 |