| NPI | 1457854895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA MATHIS-THORNTON Owner 214-356-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 75644) |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2018-03-12 |