| NPI | 1578921391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRETCHEN NOBLE Psychologist 979-551-5965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX 34781) |
| Enumeration Date | 2016-02-08 |
| Last Update Date | 2016-02-08 |