| NPI | 1083843528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEO J BORRELL Owner/President 713-850-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist, Clinical | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2012-05-10 |