| NPI | 1093304925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON OSEI MENSAH Owner 409-291-7616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 163WP0807X Registered Nurse Psychiatric/Mental Health, Child & Adolescent | |
| 167G00000X Licensed Psychiatric Technician | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 364SP0810X Clinical Nurse Specialist Psychiatric/Mental Health, Child & Family | |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |