| NPI | 1831531193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH AKIN Lpc S 817-723-1210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 64293) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |