| NPI | 1528436623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWANA R HAYES Counselor 469-712-4665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71930) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 101YP2500X) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |