| NPI | 1851733455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES RANDY INGRAM Director 214-770-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 11835) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: TX 4213) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2013-07-23 |