| NPI | 1184177305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDI E BLOOM Owner, CEO 832-224-4490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 62702) |
| Enumeration Date | 2016-07-25 |
| Last Update Date | 2016-07-25 |