| NPI | 1326292087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY A WATSON Director Of Clinical Services 940-382-5112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 15780) |
| Additional Taxonomies | 251S00000X (Licence: TX 15780) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2009-05-18 |