| NPI | 1649851247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KNIGHTEN Director 281-676-9052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 251S00000X |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |