| NPI | 1134330392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONEY L CHARLES President 903-938-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2013-10-30 |