| NPI | 1578282554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BUXBAUM Medical Director 832-443-5092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2024-05-30 |