| NPI | 1205169216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA (TINA) JOHNSTON Owner, Director 817-600-7611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 62606) |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2021-09-01 |