| NPI | 1003192923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER KUNTZ Licensed Counselor Supervisor, Owne 940-535-4375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 19993) |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2011-10-24 |