NPI | 1285267914 |
---|---|
Entity Type | Organization |
Authorized Contact | SOPHIA CANNON Director Of Clinical Services 469-986-9629 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
101YM0800X Counselor Mental Health | |
225C00000X Rehabilitation Counselor | |
Enumeration Date | 2020-02-21 |
Last Update Date | 2020-02-21 |