| NPI | 1427499359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH CAROL BOONE Chief Executive Officer 281-236-3989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: TX 1406) |
| Enumeration Date | 2013-07-08 |
| Last Update Date | 2014-04-23 |