| 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 |