| NPI | 1164725560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT E HETRICK Owner 940-367-8398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 61305) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 200982) |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-08 |