| NPI | 1558890392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE ANITA DUNHAM Owner 903-304-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH11462) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2022-07-21 |