| NPI | 1134471535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN PATRICK BROCKMAN Owner 972-372-9644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65542) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2012-10-09 |