| NPI | 1447894290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISHA DENISE WILSON Lpc/Owner 254-523-6710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-11-05 |
| Last Update Date | 2019-12-11 |