| NPI | 1821687880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LYNN CHEATHAM President 817-228-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2024-06-28 |