| NPI | 1235957812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LETICIA TOLBERT Owner 254-791-5614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2024-10-01 |