| NPI | 1548999055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE ANDERSON Mental Health Counselor 469-554-8243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-06-09 |