| NPI | 1700282951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAIESHA LASHA FLUCAS Owner/Licensed Professional Counsel 214-403-8934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 70148) |
| Enumeration Date | 2014-11-17 |
| Last Update Date | 2023-08-10 |