| NPI | 1629436415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER NELSON Manager, Founder 972-523-4921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 12581) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |