| NPI | 1104889401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK GREESON Psychologist President 361-578-9190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2020-08-22 |