| NPI | 1083782742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELVIRA B CANTU Owner 281-999-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2020-08-22 |