| NPI | 1366872350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANITA LASKOSKIE Proprietor 832-671-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 62622) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2013-11-13 |