| NPI | 1366032120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTINA CHAVIS Owner 817-893-0994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 104100000X Social Worker | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-01-25 |
| Last Update Date | 2025-08-26 |