| NPI | 1831514363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LYNN COLON Owner/Provider 903-815-7597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68249) |
| Enumeration Date | 2014-02-20 |
| Last Update Date | 2014-02-20 |