| NPI | 1205168176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE CHIHA Owner 972-971-1536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 10545) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0095871) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2010-02-03 |