| NPI | 1700131661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID IKOYA Program Director 281-412-0407 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2018-06-20 |