| NPI | 1508378266 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIKA CHRISTINE BABCOCK Therapist 254-223-0503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: AZ LPC-16028) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |