| NPI | 1538753561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAVITA DIANNE RINCHELLE JONES Owner/Provider 469-338-2338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2021-02-20 |
| Last Update Date | 2024-02-02 |