| NPI | 1518417187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A MENDOZA Consulting Counselor 469-612-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 71060) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |