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 |