| NPI | 1063660124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JOHNSON Manager 832-230-4158 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62194) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2024-04-10 |