| NPI | 1942745724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY MONTFORT Owner 214-620-0777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67500) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 68647) |
| 101YP2500X Counselor, Professional (Licence: TX 75989) | |
| 103TC1900X Psychologist, Counseling (Licence: TX 67546) | |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |