| NPI | 1669755443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEAU D DAVIS Owner CEO 940-438-1789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201168) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 106H00000X Marriage & Family Therapist (Licence: TX 201076) | |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |