| NPI | 1417204587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA RACHELLE MINGO Manager 713-631-4049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: TX 103505) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2012-08-08 |