| NPI | 1174157234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE R HORNBUCKLE Manager 281-964-9889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2024-12-10 |