| NPI | 1578249793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLENE RENEE KEARNEY Owner 832-264-7491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0801X | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QP0904X Clinic/Center, Public Health, Federal | |
| 261QP2400X Clinic/Center, Prison Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 302F00000X Exclusive Provider Organization | |
| 305R00000X Preferred Provider Organization | |
| 305S00000X Point of Service | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2023-06-22 |
| Last Update Date | 2023-06-22 |