| NPI | 1558619056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAUSAT ABIMBOLA ADEKUNLE Program Manager/Owner 832-244-0433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2014-03-18 |