| NPI | 1659765758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE RICHARDSON Clinical Director 940-220-9469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 70653) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2015-03-26 |