| NPI | 1114379286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAKEISHA QUIAN WASHINGTON Clinical Director 832-850-6422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 67425) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |