| NPI | 1639519499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WYKEITA WARREN CEO 832-693-4533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-06-26 |