| NPI | 1407488463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL LUCKY Chief Executive Officer 469-299-9373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 163W00000X Registered Nurse | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult | |
| 171M00000X Case Manager/Care Coordinator | |
| 175T00000X Peer Specialist | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 251B00000X Case Management | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2022-04-22 |