| NPI | 1538452743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ACKER Owner 915-549-5308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 63041) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 63041) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2014-12-09 |