| NPI | 1245982131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM LEVI TROTTA Owner Physician 832-615-2591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology Addiction Medicine |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |