| NPI | 1063894087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELMA JEAN STANLEY Clinical Director 936-238-3868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 18536) |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2025-03-07 |