| NPI | 1669344800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORTHIE OWENS Licensed Professional Counselor 469-708-9338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-09-18 |