| NPI | 1619416872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY W. FARMER Director 972-454-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 16797) |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2017-04-02 |