| NPI | 1194267187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOLANDA YVETTE HENDERSON Program Manager 832-630-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2016-11-08 |