| NPI | 1275955650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHEDRIC L. COX Officer 832-527-2081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2022-03-21 |