| NPI | 1285114454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MATTERN Owner 832-439-6320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2018-08-17 |
| Last Update Date | 2022-03-01 |