NPI | 1598201386 |
---|---|
Entity Type | Organization |
Authorized Contact | JAYNICE NICHOLE WILLIAMS Chief Medical Officer 409-692-4197 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA 90586) |
Enumeration Date | 2017-01-17 |
Last Update Date | 2017-01-18 |