| NPI | 1588084065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL EDINBYRD Business Owner 214-912-2614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68630) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 68630) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 68630) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 68630) | |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |