| NPI | 1376893065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOAH RANKIN Businness Mananger 281-638-2216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2012-09-11 |