| NPI | 1144713249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIETTE ANN WILTZ Managing Member 713-446-8773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2019-04-08 |