| NPI | 1407295157 |
|---|---|
| Other Name | MARK COLLINS, LCSW |
| Entity Type | Organization |
| Authorized Contact | MARK COLLINS Lcsw 214-687-8365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TX 36594) |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2013-06-17 |