| NPI | 1215247408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEIGH ANN FALLS Owner/Member 940-368-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 15456) |
| Additional Taxonomies | 251S00000X (Licence: TX 801285482) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |