| NPI | 1376062018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL LANDRUM Sole Owner 512-791-3811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 63165) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2022-07-21 |