NPI | 1235667601 |
---|---|
Doing Business As | GERALD PENNIE |
Entity Type | Organization |
Authorized Contact | GERALD WAYNE PENNIE Lead Counselor 713-417-6057 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 72286) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 72286) |
261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX 72286) | |
Enumeration Date | 2017-05-31 |
Last Update Date | 2017-08-07 |