| NPI | 1558143545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANIA GLENN Credentialing/Billing 254-423-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-11-07 |