| NPI | 1205802170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINITA SPANN Coordinator Of Patient Revenue 903-597-1351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2023-11-03 |