| NPI | 1750690541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAPHNE JOYCE JOHNSON Owner 713-777-1184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 58879) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-28 |