| NPI | 1033345319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MONTGOMER Chairman 713-454-4929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX 251b00000x) |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare (Licence: TX 25k100000x) | |
| 251S00000X Community/Behavioral Health (Licence: TX 251s00000x) | |
| 302F00000X Exclusive Provider Organization | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TX 320800000x) | |
| Enumeration Date | 2009-06-01 |
| Last Update Date | 2009-06-01 |