NPI | 1609966639 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA SUSAN MUCH President 817-540-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX LCDC781) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX LPC9615) |
106H00000X Marriage & Family Therapist (Licence: TX LMFT827) | |
Enumeration Date | 2006-10-13 |
Last Update Date | 2020-08-22 |