| NPI | 1902243538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT HERNANDEZ Finance 254-213-9649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 103T00000X Psychologist | |
| 103TC1900X Psychologist, Counseling | |
| 103TF0000X Psychologist, Family | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2016-03-30 |