| NPI | 1053845297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SULLIVAN Chief Executive Officer 806-765-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 74509) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |