| NPI | 1326614678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ANN YOUNG Licensed Administrator 936-875-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2021-05-27 |
| Last Update Date | 2021-05-27 |