| NPI | 1881998243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA KELLEY SHOULDERS General Partner 903-276-9242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: TX 64428) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: TX 4844) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2011-02-04 |