| NPI | 1023449279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA JANE JORDAN Psychotherapist 281-317-7237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: TX 201649) |
| Additional Taxonomies | 251S00000X (Licence: TX 66853) |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |