| NPI | 1316173826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE MARIE JACKSON Director 832-519-5784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2009-06-10 |