| NPI | 1003015777 |
|---|---|
| Doing Business As | LIFE CENTER HEALING AND CULTURAL PLACE |
| Entity Type | Organization |
| Authorized Contact | MISSID G GHANEM Clinical Psychologist 281-367-0328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: TX 26864) |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2008-05-13 |