| NPI | 1164829321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA K WAGGONER Director Of Counseling 844-212-1382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: TX 65480) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 65480) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |