| NPI | 1356682421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUCHI G OKORONKWO Administrator 832-483-0469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 103TM1800X) |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2013-03-14 |