| NPI | 1669903316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LA'MORRA CORNELIUS Owner 682-472-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67960) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |