| NPI | 1669888061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MCGINN Owner 940-716-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 69593) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 669819) |
| 174H00000X Health Educator (Licence: TX 669819) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |