| NPI | 1245452879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN GREEN Executive Director 915-544-4267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX LPC-06880) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |