| NPI | 1821231622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN R. JACKSON President 972-283-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63045) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 102004) |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 16724) | |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-09 |