| NPI | 1497375794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT BRYNER CEO 469-422-4185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School |
| Additional Taxonomies | 251B00000X Case Management |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-17 |