NPI | 1649939737 |
---|---|
Entity Type | Organization |
Authorized Contact | CAMECIA CLARK CEO 832-336-1650 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 251B00000X Case Management |
251S00000X | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2021-12-15 |
Last Update Date | 2023-10-29 |