| NPI | 1780696484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELYSE J. DELESKI Executive Director 469-362-8004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2019-09-05 |