| NPI | 1538646401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KABIAN BROWN Owner 210-560-0959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: GA csw005953) | |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2020-01-09 |