| NPI | 1003234675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL GORMAN President 817-681-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AR P1212118) |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2015-05-12 |