| NPI | 1194277004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA LJUBISIC Manager 214-952-2455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 70338) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-10-26 |