| NPI | 1811935265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL THORNELL Credentialing Specialist 832-448-2800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2007-11-12 |