| NPI | 1417610536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEYAH BOLDEN Clinical Director, Counselor 832-582-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2021-10-15 |