| NPI | 1134606981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODERICK J SMITH Owner 281-858-3974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2025-02-06 |