| NPI | 1548661697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY CRAIG MCCALLISTER Owner 361-945-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72738) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |