| NPI | 1023308509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD AUSTIN Director 832-721-5926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: TX 33697) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9505) |
| Enumeration Date | 2011-04-18 |
| Last Update Date | 2014-06-02 |