| NPI | 1497470090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS HENDERSON Owner 832-713-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 171400000X | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2024-03-31 |