| NPI | 1710438460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUGUSTINA OMOGHENE JOEL Administrator 713-909-6953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 106S00000X Behavior Technician (Licence: AZ BH4920) |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2026-02-06 |