NPI | 1215492368 |
---|---|
Entity Type | Organization |
Authorized Contact | KELLY DENISE GADBURY Owner 281-732-2368 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2019-02-04 |
Last Update Date | 2019-02-07 |