| NPI | 1700359114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE LEONARD Administrator 281-898-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261Q00000X Clinic/Center | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |