| NPI | 1952632903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL J RUTHERFORD Counselor 214-704-2318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 61494) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 61494) |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-27 |