| NPI | 1104263789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY D BYNUM Owner/Counselor 832-428-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 68034) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |