| NPI | 1609648344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIQUE MILES Licensed Professional Counselor 214-307-2640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-27 |