| NPI | 1699030437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN MENZEL Counselor 254-734-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66478) |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |