| NPI | 1669794848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRA KELLUM Operations Officer 281-787-1429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 251K00000X Public Health or Welfare | |
| 305R00000X Preferred Provider Organization | |
| Enumeration Date | 2010-02-16 |
| Last Update Date | 2020-12-10 |