| NPI | 1306562863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY DESHELLE HARRIS Director 832-589-9725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251B00000X Case Management |
| 251T00000X PACE Provider Organization | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child | |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2022-10-17 |
| Last Update Date | 2024-07-03 |