| NPI | 1184321499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A HANDEGARD Authorized Official 983-352-6490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-02-08 |
| Last Update Date | 2025-12-02 |