| NPI | 1629473772 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN ROY BLACKSHEAR Director 713-714-8539 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 11387) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |