| NPI | 1861614075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYLE THOMAS MARTIN President 214-540-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 23863) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |