| NPI | 1306304134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA OWEN Licensed Professional Counselor 972-848-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-08-21 |