| NPI | 1629567466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBI JONES Licensed Professional Counselor 409-225-6044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2025-08-30 |