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 |