| NPI | 1326650755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIS MOFFETT CEO 682-250-0988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC1900X Psychologist, Counseling | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2021-10-07 |