| NPI | 1598005183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEISHA HOLLEY JOHNSON CEO/President 281-785-7528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 35188) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2013-05-13 |