| NPI | 1639528789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA PETTIS ELLIS Manager 281-222-6714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2016-06-09 |