| NPI | 1003690413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAKE HAQUE Corporate COO Rdinator 409-730-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-24 |