| NPI | 1669645883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX RONALD MINTZ President 713-795-0302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 36046) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: TX DT80331) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |