| NPI | 1205061033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACY SCARBOROUGH Managing Member 254-717-9215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62746) |
| Enumeration Date | 2009-05-22 |
| Last Update Date | 2009-05-22 |