| NPI | 1336406693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILLY WAYNE COHEN-VAUGHAN Corporate Director 214-763-8270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 39277) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 39277) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX 39277) | |
| 103K00000X Behavior Analyst (Licence: TX 39277) | |
| 101Y00000X Counselor (Licence: TX 39277) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 39277) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 39277) | |
| 106H00000X Marriage & Family Therapist (Licence: TX 39277) | |
| 104100000X Social Worker (Licence: TX 39277) | |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-06-29 |