| NPI | 1346897113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALONVIA REYON GUNDY Owner 832-736-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 251B00000X Case Management | |
| 101YP2500X Counselor, Professional | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2019-08-26 |
| Last Update Date | 2019-08-26 |