| NPI | 1063648004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE MCPETERS Program Manager 214-624-7581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62150) |
| Enumeration Date | 2009-06-04 |
| Last Update Date | 2009-06-04 |