| NPI | 1386183010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER NELSON Director 972-523-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2019-06-11 |