NPI | 1255979068 |
---|---|
Entity Type | Organization |
Authorized Contact | PARKER FORTE CEO/Owner 469-790-0202 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2019-12-12 |
Last Update Date | 2024-04-30 |