| NPI | 1659887115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD BRENT KIRKLEY Director 903-361-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |