| NPI | 1659712248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIONNE MARIE PRUITT Executive Director 832-665-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging |
| 103TC1900X Psychologist Counseling | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |