| NPI | 1518220482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA K WAGGONER Owner 281-678-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 65480) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 65480) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YS0200X Counselor, School (Licence: TX 1245389) | |
| Enumeration Date | 2012-06-16 |
| Last Update Date | 2024-03-16 |