| NPI | 1679169098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE AKINS Licensed Clinical Social Worker 469-756-0880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-12-20 |
| Last Update Date | 2021-01-07 |