| NPI | 1922164045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS WILKENS Director 830-303-3161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: TX 4937) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 880) |
| 101YM0800X Counselor, Mental Health (Licence: TX 2154) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 17068) | |
| Enumeration Date | 2007-01-01 |
| Last Update Date | 2025-09-11 |