| NPI | 1649624784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK TRAHAN Social Worker 281-935-0865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36211) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 41166) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2016-04-14 |