NPI | 1336484609 |
---|---|
Entity Type | Organization |
Authorized Contact | MELODY VALENCEA CLARKE Owner 281-282-7031 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 19290) |
Enumeration Date | 2012-11-27 |
Last Update Date | 2012-11-27 |