| NPI | 1124455571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNEE CRUTCHFIELD Administrator 832-338-4711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 19337) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |