| NPI | 1972930857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDIE HERNANDEZ PUTT Owner 214-341-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 17737) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |