| NPI | 1184174609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY JOHN ENEVOLDSEN Therapist 806-570-3775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 10727) |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |