| NPI | 1811186091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOHN NICHOLS Professional Counselor 817-276-6412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 12623) |
| Enumeration Date | 2007-10-23 |
| Last Update Date | 2009-07-20 |