| NPI | 1619226396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHYRA NICHELLE JONES Licenced Professional Counselor 254-216-3930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 66025) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2013-02-10 |