NPI | 1447351861 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLY LEIGH ROGERS President 254-644-8267 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 20352) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 61113) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2020-08-22 |