| NPI | 1154512168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL VICTOR BODIN Program Director/Owner 713-962-4377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |