| NPI | 1295689446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCA ADINDU Manager 281-965-1127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2026-02-24 |
| Last Update Date | 2026-02-24 |