| NPI | 1295163798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK GLENN FLOWERS CEO 409-673-0024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 63891) |
| Enumeration Date | 2013-10-17 |
| Last Update Date | 2013-10-17 |