| NPI | 1063492320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIE BANOVIC Credentialing Manager 281-674-7145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 207Q00000X Family Medicine | |
| 251B00000X Case Management | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2024-09-04 |