| NPI | 1609629450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MICHELLE DEAN Owner 940-202-4515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2024-04-10 |
| Last Update Date | 2024-04-10 |