| NPI | 1457644379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNNON PURTELL Owner 972-387-7480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63840) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 63840) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2011-10-27 |