| NPI | 1669806634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOORE ABBOTT Clinical Psychology/Program Manager 832-578-2924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: TX 1778 - 1778 A) |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2013-08-27 |