| NPI | 1932514155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA JO KOCUREK President 281-750-1862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2014-06-26 |
| Last Update Date | 2014-06-26 |