| NPI | 1457056541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD JOSEPH Owner 832-906-0355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 251S00000X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-05-09 |