| NPI | 1588118228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY MARTIN EADES Owner 254-498-7176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 11800) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |