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