| NPI | 1225344393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L. REED ELAM Director 972-802-2845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180002225) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2020-11-09 |