| NPI | 1073208369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASTASHA MORANT Co Owner 832-340-1603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 106H00000X Marriage & Family Therapist | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 251S00000X Community/Behavioral Health | |
| 261QC1500X Clinic/Center Community Health | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center Multi-Specialty | |
| Enumeration Date | 2023-04-11 |
| Last Update Date | 2023-04-13 |