| NPI | 1760995948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY ROCK Co Owner 832-770-4623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 104100000X Social Worker |
| 251S00000X Community/Behavioral Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 101Y00000X Counselor | |
| 101YS0200X Counselor, School | |
| 103K00000X Behavior Analyst | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2017-11-10 |