| NPI | 1053852426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA A STORY Clinical Counselor 936-703-7603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65955) |
| Enumeration Date | 2017-03-17 |
| Last Update Date | 2017-03-17 |