| NPI | 1578075032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHADAWN NICOLE MCCANTS Owner 281-387-2069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health (Licence: TX 71475) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: TX 71475) |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: TX 71475) | |
| Enumeration Date | 2017-10-24 |
| Last Update Date | 2017-12-28 |