| NPI | 1215732854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY WALLACE Owner 832-617-1571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-02-18 |