| NPI | 1164973673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CZARINA V AZZAM Staff Therapist Intern 832-881-8990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: TX 76606) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |