| NPI | 1649716432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEAH PEARSON Administrator 832-705-8681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2018-06-08 |