| NPI | 1922945021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI BOGLE Owner 972-806-0877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2026-04-29 |
| Last Update Date | 2026-04-29 |