| NPI | 1093382517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEA PHAM Owner 832-681-9643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2026-06-17 |