| 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 |