| NPI | 1467517656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNIE J SMITH Reimbursement Manager 409-839-1009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX NA) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2022-12-05 |