| NPI | 1558477786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN D. INGRAM Administrator 713-227-8246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TX 2307-A) |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: TX 2307-A) | |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: TX 2307-A) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2011-01-10 |