| NPI | 1003281791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALLY BLEVINS Owner 817-449-5485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO CO 0005972) |
| Enumeration Date | 2015-12-06 |
| Last Update Date | 2015-12-06 |