| NPI | 1902628522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE SANDERS Executive Director 430-235-2032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 106E00000X Assistant Behavior Analyst | |
| 106S00000X Behavior Technician | |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent | |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2024-10-25 |