| NPI | 1538918479 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TYE WHATLEY Executive Director 903-306-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |