| NPI | 1013653120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY NEDOCK Clinical Director 281-925-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |