| NPI | 1689403875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEJANDRA CERVANTES Manager 979-349-6997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TP2701X Psychologist, Group Psychotherapy | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |