| NPI | 1447489877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN DIEHM Pres/CEO 940-365-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2010-06-09 |