| NPI | 1306195151 |
|---|---|
| Former Legal Business Name | LAZARUS PROJECT GROUP PLLC |
| Entity Type | Organization |
| Authorized Contact | ROLLA MERLE BRADLEY Counselor Owner 210-859-5446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 14527) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |