| NPI | 1356134175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EUGENE MALONE Licensed Professional Counselor 737-471-9311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-05-24 |
| Last Update Date | 2025-05-24 |