| NPI | 1962193235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THADDEUS JAMAL TOLBERT CEO 281-995-4598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2026-02-25 |