NPI | 1225540701 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA M CHAPMAN Executive Director 903-452-3363 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Additional Taxonomies | 101Y00000X Counselor |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
251S00000X | |
261QM0850X Clinic/Center, Adult Mental Health | |
261QR0800X Clinic/Center, Recovery Care | |
372500000X Chore Provider | |
Enumeration Date | 2017-10-24 |
Last Update Date | 2025-03-18 |