| NPI | 1043688369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON JUNGSUB KIM Director 972-835-4610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62816) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2023-01-05 |