| NPI | 1255102885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN G WIGGINS CEO 832-800-9385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |