| NPI | 1629285887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA L DEAN Treasurer 903-465-6344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 16757) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-09-08 |