| NPI | 1760258933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYDNEY REECE Managing Partner 940-867-5252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2023-11-29 |
| Last Update Date | 2023-12-04 |