| NPI | 1942612726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMBRIA KENNEDY-DOMINGUEZ Therapist And Owner 214-770-5335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69806) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12477) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |