| NPI | 1083947261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD L. BOURGEOIS CEO 409-727-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 3199-3200) |
| Enumeration Date | 2009-09-07 |
| Last Update Date | 2009-09-07 |