| NPI | 1700122496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY EZELL Psychotherapist 214-498-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 66405) |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2012-12-27 |