| NPI | 1093180085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH ELIZABETH MARSHALL Owner 832-423-0069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 201947) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2015-12-02 |