| NPI | 1043600596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN DOUGHERTY Assessment Counselor 469-251-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 20192) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |