| NPI | 1144686726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY WAYNE THOMAS Licensed Professional Counselor 903-407-9701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 19851) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |