| NPI | 1417273327 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI LA FON JOHNSON-SIMPSON Executive Director 940-387-5131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 14319) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 33601) |
| 104100000X Social Worker (Licence: TX 41915) | |
| 251B00000X Case Management (Licence: TX 41915) | |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2010-04-16 |