| NPI | 1497064745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E BULLARD President 817-291-4564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 17244) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2010-10-05 |