| NPI | 1316453012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA CUNNINGHAM Co Owner 214-718-9693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 61801) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2017-12-18 |