| NPI | 1174031553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCILENE A GROSS Clinical Director 832-439-1896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: KS 140) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: KS 140) |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2020-10-23 |