| NPI | 1093238362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL WYNNE Administrator 713-910-0296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251B00000X Case Management | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2023-07-17 |