| NPI | 1023858727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDGAR LORET Clinical Director 832-988-2753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2025-01-14 |