| NPI | 1184980534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MCNEIL Administrator 832-483-4064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 261QH0100X Clinic/Center, Health Services | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM2500X Clinic/Center, Medical Specialty | |
| 261QP2000X Clinic/Center, Physical Therapy | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QV0200X Clinic/Center, VA | |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |