| NPI | 1205047735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STUART JOEL NATHAN Owner 713-914-0277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 9483) |
| 103T00000X Psychologist (Licence: TX 25473) | |
| 103T00000X Psychologist (Licence: TX 23367) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-07-15 |