| NPI | 1922814847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEZARAE TODMANN Owner 469-354-3248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-12-05 |
| Last Update Date | 2024-12-05 |