| NPI | 1811363344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUSAN CLARK-LADD President 254-519-1150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 64044) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2023-11-27 |