| NPI | 1538672910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SMITH Manager 832-928-6614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2023-06-16 |