| NPI | 1174146450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CHANEY Director 832-530-2297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2020-05-21 |