| NPI | 1679960819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER DOSS Executive Director 817-275-3617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 12908) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-04-24 |