| NPI | 1366032120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTINA CHAVIS Therapist/Admin 817-893-0994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2024-04-11 |