| NPI | 1710269055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES HERSHELL SELF Therapist 214-732-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 948) |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2011-09-13 |