| NPI | 1033609003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE SECKER Member 214-797-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 76503) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 76347) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2018-05-15 |