| NPI | 1073025912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACY DENISE WILLIAMS ROSS Executive Director 281-272-4703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center Adult Day Care |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2017-11-01 |