| NPI | 1417221441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA RENEE JACKSON CEO 281-253-4136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| 261QH0100X Clinic/Center, Health Services | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-03-08 |