| NPI | 1093599193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH IBIOK Owner 832-820-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-09-08 |