| NPI | 1588111280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DEAN ERICKSON Owner 832-455-5729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: TX 17125) |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2021-06-10 |