| NPI | 1801372859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA BRAVO Licensed Professional Counselor 737-881-9695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 69167) |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |