| NPI | 1437838612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME DAWN CORNELIUS Clinic Director 903-533-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-07-14 |
| Last Update Date | 2023-07-20 |