| NPI | 1093348443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN A MARTIN Owner 409-504-4596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-06-29 |