| NPI | 1447520580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER LANCE GARDNER Counselor / Co Owner 214-265-1777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 16490) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 17575) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-02-02 |