| NPI | 1700737475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE STAGGS Partner 682-498-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2026-02-06 |
| Last Update Date | 2026-05-07 |