| NPI | 1134666357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILEE GRIFFIN HERVEY Member 972-533-8269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67650) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |