| NPI | 1285365189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID IKOYA Program Manager 713-686-8548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2022-11-01 |