| NPI | 1891047312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRENA HART Owner 972-562-5002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 15619) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 15619) |
| 251S00000X (Licence: TX 15619) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 15619) | |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-10-08 |