| NPI | 1740155639 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE THOMAS Director 936-463-2322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-11-03 |