| NPI | 1346010618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY DAVIS Owner 832-492-6842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 261QA0600X Clinic/Center Adult Day Care | |
| 261QC1500X Clinic/Center Community Health | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-01-08 |
| Last Update Date | 2024-01-09 |