NPI | 1932617792 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTIE GAIL COLLINS Owner And Clinical Director 469-223-1579 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0013986) |
Additional Taxonomies | 103K00000X Behavior Analyst (Licence: CO 1-16-22433) |
Enumeration Date | 2018-01-15 |
Last Update Date | 2021-04-19 |