| NPI | 1669129920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE BUTLER Administrator 817-987-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| 133N00000X Nutritionist | |
| 104100000X Social Worker | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X | |
| 374K00000X Religious Nonmedical Practitioner | |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |