| NPI | 1164884805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY STERN Psychotherapist 713-875-0890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149017295) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |