| NPI | 1942319108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITH DEWAYNE LANG Licensed Professional Counselor 903-821-5518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX LPC# 20123) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |