| 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 Health & Wellness Coach | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2024-03-31 |