| NPI | 1396406898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CARTER Owner 214-864-1792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2023-02-08 |