NPI | 1689196651 |
---|---|
Doing Business As | GLASSHOUSE EFFECT PSYCHOTHERAPY CENTER, LLC |
Entity Type | Organization |
Authorized Contact | BOLUTIFE DOSUMU Therapist 817-705-1900 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 51608) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2023-11-08 |