| 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 |