| NPI | 1982064705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON SAWYER CEO 915-533-8696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 67787) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: TX 67787) |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |