| NPI | 1710307509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY GRAHAM Therapist, President 940-597-9635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 16563) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |