| NPI | 1306277082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAJINE BLAKE Chief Compliance Officer 713-548-6954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2021-11-19 |