| NPI | 1689307399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE CUMBY CEO/Owner 469-334-3218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-07-08 |