| NPI | 1730051756 |
|---|---|
| Doing Business As | KIBONGE BALEKE |
| Entity Type | Organization |
| Authorized Contact | KIBONGE BALEKE Admin 817-450-0048 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-09-19 |