| NPI | 1558071571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS FORKA Program Manager 713-730-8409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251J00000X Nursing Care |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |