| NPI | 1831969294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MELASS Owner 979-709-9566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2025-10-15 |