| NPI | 1568791820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTRAC RUTH TOMLIN Executive Director 254-690-2004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 1863) |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2009-12-16 |