| NPI | 1659432847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC OAKES LARSON Counseling Manager 214-538-7847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 12587) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-05-08 |