| NPI | 1225505928 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | LESLIE GRIFFIS Owner 972-694-1000 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103T00000X Psychologist | 
| Additional Taxonomies | 106H00000X Marriage & Family Therapist | 
| 101Y00000X Counselor | |
| Enumeration Date | 2018-10-31 | 
| Last Update Date | 2018-10-31 |