| NPI | 1184870800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SCOTT MARTIN Owner 432-582-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 14764) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 20187) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |