| NPI | 1609573518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL ALEXIA JEFFREY Owner, Clinical Director 832-338-6350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251B00000X Case Management | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2024-03-11 |