| NPI | 1235894395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEATRIC L THOMPSON Professional Counselor 832-786-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |