| NPI | 1285872721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCI LYNN HOLLOWAY Psychotherapist 817-233-7269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 29938) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |