| NPI | 1912412388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LEIGH ROBINSON Licensed Professional Counselor 325-280-6261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: TX 72877) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: TX 72877) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |