| NPI | 1881231603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOELLE RODGERS Managing Member 469-854-9584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-12-01 |
| Last Update Date | 2021-09-21 |