| NPI | 1568834398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI LYNN HOSEK Owner 806-445-4190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 63479) |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |