| NPI | 1487172730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOAH E ENTEEN Therapist & Owner 512-790-4638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 202647) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CA 50798) |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-12 |