NPI | 1194178442 |
---|---|
Entity Type | Organization |
Authorized Contact | DESIREE DENISE WOODSIDE Lpc/ Owner 817-771-9016 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management (Licence: TX 71872) |
Enumeration Date | 2016-07-21 |
Last Update Date | 2016-07-21 |