| NPI | 1669061206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANFRED LARUE HUMBER Director 832-267-0455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
| Additional Taxonomies | 174200000X Meals |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X Community/Behavioral Health | |
| 251V00000X Voluntary or Charitable | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2021-01-17 |
| Last Update Date | 2022-08-23 |