| NPI | 1154078822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAPREYIA SHANEA ANGEL Phleboto MIS T 832-902-1619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-03-03 |