| NPI | 1568913960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEMI MENDEZ-HYAMS Registered Agent 469-701-0572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 64318) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2023-03-16 |