| NPI | 1568871275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN W ALEXANDER Lpc/Licensed Professional Counselor 361-212-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 64559) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 14262) |
| 101YP2500X Counselor, Professional (Licence: TX 65221) | |
| 101YP2500X Counselor, Professional (Licence: TX 64559) | |
| 103T00000X Psychologist (Licence: TX 24446) | |
| 251B00000X Case Management | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2015-06-09 |