| NPI | 1851121032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN YOUNG Clinical Therapist 469-730-6650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 104100000X Social Worker | |
| Enumeration Date | 2024-08-03 |
| Last Update Date | 2024-08-03 |