| NPI | 1366012916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GALLO Owner/Lmft 817-454-9683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-06-27 |
| Last Update Date | 2021-07-01 |