| NPI | 1447808589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUMIDE O SAMSON Program Manager 512-203-2387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-09-02 |
| Last Update Date | 2019-09-02 |