| NPI | 1457893232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY BEAN Executive Director 682-841-1475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| Enumeration Date | 2016-11-10 |
| Last Update Date | 2023-11-01 |