| NPI | 1487989554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA L DICKERSON CEO 936-327-5022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-10-07 |
| Last Update Date | 2010-01-11 |