| NPI | 1245095553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLIE GARCIA Owner 940-202-9719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |