| NPI | 1710724182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER JOHNSON Director 281-528-1523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 207QA0401X Family Medicine, Addiction Medicine | |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-07-18 |