| NPI | 1053978411 |
|---|---|
| Former Legal Business Name | INTEGRATED COUNSELING AND WELLNESS-LEAGUE CITY |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER FOWLES Owner 281-562-7583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2021-08-30 |