| NPI | 1710750567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN LITVIN Owner/Director 817-330-4016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2024-04-29 |