| NPI | 1295489334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT BOATWRIGHT Co Founder 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 |