| NPI | 1861927873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN D. VANDERKAAY President 936-703-5029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2023-01-12 |