| NPI | 1487065363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEON MARK CHAMBERLIN Owner 817-913-1724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63871) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |