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 |