| NPI | 1578319885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH JORDAN POLK Owner Mental Health Counselor 254-315-8661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-04-26 |
| Last Update Date | 2024-06-11 |