| NPI | 1538931902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER MAY Administrator 832-403-5814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2024-11-22 |