| NPI | 1932346723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON GOOD Director Of Counseling 817-704-6991 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 61465) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |