| NPI | 1740003235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTAINY WAGNER COO 903-267-4023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2024-11-04 |
| Last Update Date | 2024-11-04 |