| NPI | 1548783459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LE Mental Health Counselor 469-616-6187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 71505) |
| Enumeration Date | 2017-07-23 |
| Last Update Date | 2023-12-10 |