| NPI | 1477175842 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY M SHELTON CEO 832-915-0642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center, Recovery Care |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-05-08 |