NPI | 1326750092 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMIKA ANDREWS Clinical Director 832-609-1542 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2022-12-14 |
Last Update Date | 2022-12-14 |