| NPI | 1346837176 |
|---|---|
| Doing Business As | HEARTSPACE THERAPY |
| Entity Type | Organization |
| Authorized Contact | DANIEL SPENCE Member/Partner 469-878-0822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2020-12-28 |