| NPI | 1750757225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILEE JANE BLOCK Sole Proprietor : Manager 214-301-2974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68519) |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |