| NPI | 1235769126 |
|---|---|
| Former Legal Business Name | OMORINSOLA |
| Entity Type | Organization |
| Authorized Contact | DOREEN PHILLIPS Chief Manager 832-454-6061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 273R00000X Psychiatric Unit | |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2024-01-03 |