| NPI | 1184933103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLEEN LORTZ CEO 817-403-3130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 61108) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 61108) |
| 101YM0800X Counselor Mental Health (Licence: TX 61108) | |
| 225C00000X Rehabilitation Counselor (Licence: TX 00072125) | |
| Enumeration Date | 2010-09-26 |
| Last Update Date | 2015-02-17 |