| NPI | 1619455250 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COSHA SHAWNTELL JOSEPH Owner/Lead Clinician 832-831-6178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 80185) |
| Additional Taxonomies | 251B00000X Case Management |
| 101YP2500X Counselor, Professional (Licence: TX 80185) | |
| 103K00000X Behavior Analyst | |
| 251S00000X Community/Behavioral Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX 80185) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 80185) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 80185) | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2026-02-26 |