| NPI | 1164761805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN JARVIS VP Finance 713-581-8792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2013-01-31 |