| NPI | 1851654735 |
|---|---|
| Doing Business As | RIVERSON HOUSE, HALLIE HOUSE, PINE MOUNTAIN RANCH, KCF COUNSELING CENT |
| Entity Type | Organization |
| Authorized Contact | ROBERT H. O'NEAL Executive Director/ Administrator 817-807-5932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX LPC 959) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX LPC 959) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX LPC 959) | |
| 101YM0800X Counselor, Mental Health (Licence: TX LPC 959) | |
| 106H00000X Marriage & Family Therapist (Licence: TX LMFT 469) | |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2012-06-16 |