| NPI | 1205708104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORRA OSARETIN FONTENOT CEO/ Owner 832-338-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-09-19 |