| NPI | 1295517514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENDRICK SMITH Manager 832-358-7365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging |
| 103TP2701X Psychologist Group Psychotherapy | |
| 163WC1500X Registered Nurse Community Health | |
| 163WH0200X Registered Nurse Home Health | |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |