| NPI | 1427825264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ACURA JANAE BLAYLOCK Clinical Mental Health Counselor 469-224-3241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2025-12-17 |