| NPI | 1659645067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KAY SANDOR President 409-765-6093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: TX 14440) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2016-08-15 |