| NPI | 1255604062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS RAMIREZ Co Owner 915-778-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 17090) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 58922) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-10 |