| NPI | 1518590231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HANSON Owner 832-306-2969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2022-12-08 |