| NPI | 1235667106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANA ADAMS Executive Director 817-481-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 11922) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2022-07-21 |