| NPI | 1184388308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORY BURGESS Owner 832-418-4380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2021-10-25 |
| Last Update Date | 2021-10-25 |