| NPI | 1689114621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA MCCLEESE Manager 832-886-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: VA 0810005219) |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |