| NPI | 1962781682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI JO KOUNCE Counselor/Owner 432-553-4697 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 61623) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |