| NPI | 1013726736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PABLO CUETO Co Owner 832-463-1822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-04-18 |