| NPI | 1073919056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENETTE DODSON STANTON Therapist 713-819-8663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65859) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |