NPI | 1578094017 |
---|---|
Entity Type | Organization |
Authorized Contact | GLORIA AURORA CHAMPION Owner 346-235-3939 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 63471) |
Enumeration Date | 2017-03-27 |
Last Update Date | 2017-03-27 |