| NPI | 1255797619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNNIKA GREEN Owner 832-291-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 72551) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2016-01-14 |