| 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 (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 |