| NPI | 1336308410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA LYNN JENNINGS Manager 806-282-1137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19378) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 19387) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |