| NPI | 1588028831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE JAYDE YOUNG Manager 817-707-4386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 72131) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-04-12 |