| NPI | 1942535273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAHARAH SHROUT Program Manager 832-900-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: TX 31824) |
| Enumeration Date | 2009-10-05 |
| Last Update Date | 2014-10-23 |