| NPI | 1952188542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY ELIZABETH WALRAVEN Owner & Operator 806-319-1864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2025-05-14 |