| NPI | 1699133355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER MICHAEL JOHNSON Owner 214-402-8728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 66537) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |