| NPI | 1710489117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JINJI D WILLINGHAM Director 512-350-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 73509) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |