| NPI | 1447960414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIBEL RODRIGUEZ LAGUNA Owner 469-534-3024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2022-12-01 |
| Last Update Date | 2022-12-01 |