| NPI | 1174391171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TASHA ROYAL Owner 713-393-7188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-04-01 |