| NPI | 1427546514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDUARDO SANTIAGO Licensed Professional Counselor 580-512-7753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: OK 5664) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2018-04-25 |