| NPI | 1942630546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA CLARK Director 214-368-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 11660) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YP2500X Counselor, Professional (Licence: TX 64436) | |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |