| NPI | 1790450997 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | DAYNA GURLEY Licensed Clinical Social Worker 832-875-2062 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) | 
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2021-08-10 | 
| Last Update Date | 2022-06-24 |