| NPI | 1487736682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH MARK DEYOUNG President 817-656-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 4796) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2010-09-10 |