| NPI | 1982367603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WASHINGTON Manager 214-228-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2022-11-28 |