| NPI | 1578679064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER D BRADLEY Pres & CEO 469-635-7540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2020-08-22 |