| NPI | 1245400589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YVETTE PHILLIPS Clinical Director 817-306-9770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 63253) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2008-06-20 |