| NPI | 1699463505 |
|---|---|
| Other Name | PAULINE BOTCHWAY |
| Entity Type | Organization |
| Authorized Contact | PAULINE BOTCHWAY Counselor 817-808-4465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |