| NPI | 1154874626 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK S STRAUSS Director 817-778-9071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 72075) |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |