| NPI | 1508092172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH FARRELL Owner 940-206-4084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 61349) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-06-09 |