| NPI | 1295123909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA RUNNELS Psychotherapist 832-914-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 68799) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 11650) |
| Enumeration Date | 2015-01-04 |
| Last Update Date | 2015-01-04 |