| NPI | 1245535905 |
|---|---|
| Doing Business As | WELLSOURCE GROUP |
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES SIMON COO 713-481-2808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional (Licence: TX 65120) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2011-01-11 |
| Last Update Date | 2023-11-29 |