NPI | 1629743513 |
---|---|
Entity Type | Organization |
Authorized Contact | LEAH COLETTE MAYON Manager 281-583-5003 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2021-08-12 |
Last Update Date | 2021-08-12 |