| NPI | 1497333454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIRLEY ESPINOSA Billing Manager 817-583-2894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-03-31 |
| Last Update Date | 2024-07-09 |