| NPI | 1740532621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIE FINCHER Owner 817-281-6822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 63655) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 61587) |
| 101YM0800X Counselor, Mental Health (Licence: TX 66067) | |
| Enumeration Date | 2012-10-03 |
| Last Update Date | 2012-10-03 |