| NPI | 1609518992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAIGE ELIZABETH FALCON Owner 409-770-7351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |