| NPI | 1720791288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN REED Director Of Operations 817-734-5349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2023-04-03 |