| NPI | 1487199642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFF KEEHN CFO 214-351-3490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |