| NPI | 1306395108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAMITRA D SMITH Therapist 346-667-3423 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 70501) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2024-10-15 |