| NPI | 1982839098 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | THEODORA HART KOEHN President 214-435-4620 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 19497) | 
| Enumeration Date | 2009-05-18 | 
| Last Update Date | 2009-05-18 |