| NPI | 1821313628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURRY L JACKSON CEO 832-884-9425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2010-04-05 |
| Last Update Date | 2010-04-05 |