| NPI | 1932816014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHONDA LAVON PHILLIPS-YOUNG Provider/Owner 254-599-8181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2025-02-18 |