| NPI | 1124488218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KRYNSKI Owner/Operator 817-360-9806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70848) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |