| NPI | 1225559487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY R FLORES Owner 817-459-2433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 50594) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70438) |
| 1041C0700X Social Worker, Clinical (Licence: TX 52714) | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-09-07 |