| NPI | 1073800892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA WRENN-GORDON Owner 210-248-9077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 20064) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical (Licence: TX 27796) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2022-01-13 |