| 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 | 101YP2500X Counselor Professional (Licence: TX 80185) |
| 103K00000X Behavior Analyst | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center Adult Mental Health (Licence: TX 80185) | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: TX 80185) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: TX 80185) | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2024-06-05 |