| NPI | 1336503648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEISNYK MCCULLOUGH Manager 832-429-4917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 68447) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TX 68447) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2016-08-18 |