| NPI | 1952809873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID D ALLRED Owner 385-275-6311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: UT 7666016-3902) |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2020-11-30 |