| NPI | 1487789418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA B DUBOIS President 817-461-6183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX S09673) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |