| NPI | 1467926105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA CLAIRE LEGER Licensed Clinical Social Worker 832-773-4638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |