| NPI | 1073480125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILALAH MOORE Owner 409-351-2852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-25 |