| NPI | 1376029355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCUS TANNER Owner 806-319-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202235) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2024-04-01 |