| NPI | 1568984300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE SCHUTTE Director 469-634-1277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2017-07-13 |
| Last Update Date | 2019-02-11 |