| NPI | 1437015781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MICHAEL HOSEA COO 817-725-9917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2025-12-30 |
| Last Update Date | 2025-12-30 |