| NPI | 1689435042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER Q FULLER Licensed Professional Counselor 832-671-8595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |