| NPI | 1639602089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON F GAYLE Owner 972-809-8272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 71239) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12818) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |