| NPI | 1972168078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN RENEE' RIVERA Licensed Professional Counselor 972-679-3485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2019-05-03 |