| NPI | 1174857189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN PAYNE GLASSER Managing Owner 281-597-9291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 12634) |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2009-09-23 |