| NPI | 1740931609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL J. FRAPART COO/CFO 713-850-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-01-12 |
| Last Update Date | 2022-01-12 |