NPI | 1972970531 |
---|---|
Entity Type | Organization |
Authorized Contact | BROOKE MARTIN Licensed Professional Counselor 979-571-6648 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 67067) |
Enumeration Date | 2015-08-29 |
Last Update Date | 2015-08-29 |