NPI | 1194466078 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA L WELCH Owner 254-423-4315 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-04-05 |
Last Update Date | 2023-03-28 |