| NPI | 1821064742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINITA SPANN COO Rdinator Of Patient Revenue 903-535-7355 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2025-06-12 |