| NPI | 1417157637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI SPIKER Program Director 936-435-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 41154) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-08-09 |