| NPI | 1609143171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L. GILLIAM Executive Director 972-570-9828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 9559) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 9559) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2011-11-28 |