| NPI | 1316712409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE JN-MARIE CANNON Owner 832-788-0183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2024-02-27 |