| NPI | 1205691037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUALA MARTINEZ Authorized Official / Owner 469-602-4817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |