| NPI | 1265940787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CANFIELD OTTEN Counselor 281-450-8375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 74298) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TX 13093) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |