| NPI | 1235685488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC C BURRELL Therapist 832-457-7842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 69981) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2016-08-28 |