| NPI | 1447107693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN CLARK-MARTINEZ Licensed Clinical Social Worker 737-781-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-03-16 |
| Last Update Date | 2026-03-16 |