| NPI | 1871316976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZANE GRUBAUGH Owner 214-951-5170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2024-11-06 |
| Last Update Date | 2024-11-06 |