| NPI | 1366297277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN GUILLORY Authorized Official 832-829-3034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-04-23 |