| NPI | 1417340803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FENORRIS PEARSON Administrator 832-780-3960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2020-11-05 |