| NPI | 1174357289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARSHA MARIE DEGAY CEO 832-290-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2024-08-29 |
| Last Update Date | 2024-08-29 |