| NPI | 1669774337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL GRACEY SIMMONS President 713-782-4657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 3739) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: TX 004832) |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |