| NPI | 1124886486 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN SMITH CEO 832-308-0764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 103TC1900X Psychologist Counseling | |
| 103TE1100X Psychologist Exercise & Sports | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2024-03-11 |
| Last Update Date | 2024-03-11 |