| NPI | 1942664420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHERY WEST Counseling 832-506-8121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |