| NPI | 1861606113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL LUND CEO 817-516-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 59857) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 32661) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |