| NPI | 1821337056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CLARK Sole Member 817-426-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 66476) |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2013-02-07 |