| NPI | 1447618020 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE CHENEY BONE Licensed Professional Counselor 254-744-9139 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TX 69079) |
| Additional Taxonomies | 251S00000X (Licence: TX 90718) |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2016-02-10 |