NPI | 1790949964 |
---|---|
Entity Type | Organization |
Authorized Contact | BELINDA TAYLOR Executive Director 806-372-7960 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 12345) |
Enumeration Date | 2008-07-16 |
Last Update Date | 2010-06-03 |