| NPI | 1235950619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAYLA L JACOB Founder And CEO 940-394-8909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-23 |