| NPI | 1386605723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTI VANN Executive Assistant 409-983-7668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 18150) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-08-22 |