| NPI | 1831829993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLENA D PRIDDY Owner/Manager 817-614-5788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-06-13 |