| NPI | 1366564064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE AARON EASTHAM Executive Director 817-300-1590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2020-08-22 |