| NPI | 1114497971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTHILIA MOORE Licensed Professional Counselor 959-200-0189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-12-04 |
| Last Update Date | 2018-12-04 |