| NPI | 1184288755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDRICK LYLE HALL Owner 832-865-3493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 251B00000X Case Management | |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2026-05-20 |