| 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 |