| NPI | 1104160969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN JARVIS Vice President, Finance 713-581-8792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-21 |