NPI | 1295489334 |
---|---|
Entity Type | Organization |
Authorized Contact | GRANT BOATWRIGHT Cofounder 972-754-0788 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional |
Additional Taxonomies | 101Y00000X Counselor |
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 | 2022-02-08 |
Last Update Date | 2024-03-26 |