| NPI | 1013272392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE JANELL CELESTINE Account Executive 281-815-2953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |