| NPI | 1740779818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH EWEGBEJE Director 817-532-8326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |