| NPI | 1275379216 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | LAURA TANNER Owner/Therapist 940-222-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |