| NPI | 1518177856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS GAIL BRACKINS Sole Proprietor/Psychotherapist 281-272-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 11795) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 10580) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-07-28 |