| NPI | 1902335680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAFF WILLIAM WENNIK Owner/Clinical Director 817-584-7132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2017-06-07 |