| NPI | 1891933222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY DAVID ALLAN Owner 214-629-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 2200944) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |