| NPI | 1164983771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN JETER Program Director 936-894-0296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| 221700000X Art Therapist | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 253J00000X Foster Care Agency | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| 385H00000X Respite Care | |
| Enumeration Date | 2019-03-27 |
| Last Update Date | 2019-03-27 |