| NPI | 1639623937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE W MAXFELDT Senior Vice President Of Operations 713-554-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 2084P0805X |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |