| NPI | 1225602451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELBRA GARVEY CEO 832-620-8390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101Y00000X Counselor |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2021-06-15 |