| NPI | 1124705421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNNIKA GREEN Provider 832-363-8515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 106E00000X Assistant Behavior Analyst | |
| 163W00000X Registered Nurse | |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker, Clinical | |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |