| NPI | 1275977118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON TIMOTEO Director 972-220-8012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 101Y00000X Counselor | |
| 104100000X Social Worker | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-25 |