| NPI | 1083730279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH NICOLE DICKEY Executive Director 979-774-4176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2022-07-21 |