| NPI | 1194948752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BRYAN Office Manager 979-297-8565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 104100000X Social Worker | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |