| NPI | 1740469634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL LEE MARCEL Owner/Lpc 915-613-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 18932) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |