| NPI | 1467775510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY EDWARD CULBERSON Executive Director 940-497-5576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 5244) |
| Additional Taxonomies | 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 5244) |
| 103TR0400X Psychologist, Rehabilitation (Licence: TX 5244) | |
| 251300000X Local Education Agency (LEA) (Licence: TX 5244) | |
| 101Y00000X Counselor (Licence: TX 5244) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 5244) | |
| 101YP2500X Counselor, Professional (Licence: TX 5244) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: TX 5244) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 5244) | |
| 103TC1900X Psychologist, Counseling (Licence: TX 5244) | |
| 104100000X Social Worker (Licence: TX 5244) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2012-11-05 |