| NPI | 1346741329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI WATTS Owner 214-799-0517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-05-24 |