| NPI | 1891142063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY MOLINA Business Office Director 817-447-3001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 72179) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-05-19 |