| NPI | 1225588197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA RENEE JOHNSON Administrator 832-439-1877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 101YOOOOOX) |
| 101Y00000X Counselor | |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |