| NPI | 1578988341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDA JOHNSON Director/Owner 469-600-5056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 63935) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |