HTTPS://NPPES.CMS.HHS.GOV/IAWEB/LOGIN.DO

GEORGETOWN, TX
NPI1134962319
Doing Business AsHTTPS://NPPES.CMS.HHS.GOV/IAWEB/LOGIN.DO
Entity TypeOrganization
Authorized ContactSONJA SHARYN COUSAR
CEO/Founder
512-591-7305
Organization Subpart ?No
Primary Taxonomy251S00000X Community/Behavioral Health
Additional Taxonomies101YM0800X Counselor, Mental Health
261QM0855X Clinic/Center, Adolescent and Children Mental Health
Enumeration Date2024-06-17
Last Update Date2024-06-17
Business Address
HTTPS://NPPES.CMS.HHS.GOV/IAWEB/LOGIN.DO
703 S CHURCH ST BLDG 2
GEORGETOWN, TX 78626-5749
Phone number: 512-591-7305
Mailing Address
HTTPS://NPPES.CMS.HHS.GOV/IAWEB/LOGIN.DO
703 S CHURCH ST BLDG 2
GEORGETOWN, TX 78626-5749
Phone number: 254-258-3769