| NPI | 1073168829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW SANTI Owner 817-380-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |