| NPI | 1306334461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACE FUNMILOLA DAVID Owner 210-995-4310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 75141) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2018-04-24 |