| NPI | 1477977205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH JONES Owner/CEO 817-264-6194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 28460) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 13478) |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2014-02-14 |