NPI | 1164102711 |
---|---|
Entity Type | Organization |
Authorized Contact | SHIMIN BAO Clinician/Owner 832-713-8435 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Enumeration Date | 2023-07-19 |
Last Update Date | 2023-07-19 |