| NPI | 1730830191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A SWEAT Chief Operating Officer 409-232-0096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP2701X Psychologist Group Psychotherapy |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-01-17 |