| NPI | 1770069007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERLENA ANNTE JAMES TURKS Lpc/Owner 979-203-6863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2023-03-02 |