| NPI | 1639714504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HENRY FURLONG Licensed Professional Counselor 214-564-4149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |