| 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 |