| NPI | 1013186386 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ANN BROWN Counselor 817-599-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 09135) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2010-12-07 |