| NPI | 1497877401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE CHILDRESS President 979-575-7949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 14921) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2011-11-28 |