| NPI | 1093677254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNICK JACKSON CEO/Owner 281-723-1795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-11-26 |
| Last Update Date | 2025-11-26 |