| NPI | 1053878355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN CHARLES SCHULZ Member 713-965-3801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-02-23 |
| Last Update Date | 2019-02-23 |