| NPI | 1356310585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNNETTE WARDELL Executive Director 254-298-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2022-02-10 |