| NPI | 1174110134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERIE BANOVIC Credentialing 832-767-8551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2026-03-07 |