| NPI | 1497367122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD ACOSTA Owner 956-600-7123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2022-08-01 |