| NPI | 1609395151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SENONA MARIE HAUGENATER Owner 832-818-0274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 70670) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2017-09-15 |