| NPI | 1114859188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANY ABOUZEID Owner 682-243-3242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-06-02 |
| Last Update Date | 2026-06-02 |