| NPI | 1366851677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHARA R KIRKSEY Program Director 281-989-4933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 251B00000X Case Management | |
| 251X00000X Supports Brokerage | |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-12 |