| NPI | 1528674405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULA DIANNE ODOM Managing Member 817-269-9973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2022-03-06 |