| NPI | 1952766008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY STEPHEN GALLUP Owner 214-952-2324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 61332) |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2015-12-16 |