| NPI | 1245500727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE OKWUCHUKWU NEBE Administractor 682-553-7706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 103TR0400X Psychologist, Rehabilitation | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2012-03-29 |