| NPI | 1609332261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA SHANETT MUKORO Manager 713-884-7235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103T00000X Psychologist | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2024-06-11 |