| NPI | 1730706326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERMAN MICHAEL DODSON Administrator/Owner 281-989-6979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |