| NPI | 1396329868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASIE BOYD Director 281-915-3522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2022-11-21 |