| NPI | 1467914366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA ANN BRENNAN Licensed Professional Counselor 817-653-3663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-08-09 |