NPI | 1144593633 |
---|---|
Entity Type | Organization |
Authorized Contact | ABIGAIL WYNNE Administrator 832-724-7731 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2012-02-15 |
Last Update Date | 2012-02-15 |