| NPI | 1386199321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEA ELIZABETH HENDERSON Owner 409-291-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR E-9657) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |