| NPI | 1912145400 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | BRIAN R GRANDJEAN Licensed Professional Counselor 214-866-9529  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 197756)  | 
| Enumeration Date | 2009-01-22 | 
| Last Update Date | 2009-01-22 |