| NPI | 1902737091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMERA R MCCLENTON Licensed Professional Counselor 469-417-8214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-05-27 |
| Last Update Date | 2026-05-27 |