| NPI | 1538885876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH ALENE JOHNSON Sole Mbr 713-377-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-10-18 |