| NPI | 1578511895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER P JOHNSON Executive Director 817-921-2401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2008-02-21 |