| NPI | 1558744623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PONTELLO Clinical Associate 281-415-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 201413) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |