| NPI | 1629787650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TENISHA JOHNSON Director 281-916-5939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2024-04-11 |