| NPI | 1194414474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA EVETTE DEMAS Clinical Director 832-291-8363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2023-05-03 |