| NPI | 1750824991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN JANE STUBBLEFIELD Owner 214-542-5642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62980) |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |