| NPI | 1649456153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE M KAKKANATT President 281-723-8520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX S29416) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |