| NPI | 1417314089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHIDRAH COWGILL CEO/ Clinical Director 214-475-0345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 64254) |
| Enumeration Date | 2016-01-27 |
| Last Update Date | 2016-01-27 |