NPI | 1376253914 |
---|---|
Entity Type | Organization |
Authorized Contact | KEWANA SYLVESTER Manager 281-409-2744 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional | |
103TB0200X Psychologist, Cognitive & Behavioral | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2022-12-05 |
Last Update Date | 2023-06-10 |