| NPI | 1073040499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN HENRY Administrator 281-319-4910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 202872) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2021-06-10 |