| NPI | 1891507935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAQUANITA SHANEL SHOTOMIWA Owner 832-544-9676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251B00000X Case Management | |
| Enumeration Date | 2025-01-24 |
| Last Update Date | 2025-05-12 |