| NPI | 1578953857 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE DARICE JACKSON CEO 832-484-2635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2018-04-11 |