| NPI | 1992232169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEI MIRANDA BROWN Therapist/ CEO 972-653-2207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 70884) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: 70884) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 70884) | |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2022-07-21 |