| NPI | 1821829102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY T GORDON Therapist 959-231-6693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-08-09 |
| Last Update Date | 2025-04-28 |