| NPI | 1265977441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRNA ARDON Owner/Administrator/CFO/Com PT Roller 281-736-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 430E6FAE) |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2016-12-27 |