| NPI | 1942807250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOMEKA BIDDLE Owner/Counselor 254-368-9413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |