| NPI | 1659076545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY MOORE Owner Operator 409-292-6783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2023-04-03 |
| Last Update Date | 2023-04-03 |