| NPI | 1700275005 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN MARTIN DUNN Marriage & Family Therapist 214-890-6637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 12149) |
| Enumeration Date | 2015-01-10 |
| Last Update Date | 2015-01-10 |