| NPI | 1144720889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA DENISE PENA Owner 832-203-5987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225C00000X Rehabilitation Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2020-07-29 |