| NPI | 1982008173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MECHELL R GUY Managing Member 972-803-0246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 68500) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 70123) |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2014-10-16 |