| NPI | 1396266565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE WAXLER Owner 832-510-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 68243) |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-07-21 |