| NPI | 1861942245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAVAUN R FAWCETT Counselor 972-850-8881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 71967) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |