| NPI | 1770126898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAEGON MILLER Clinical Director 281-865-0847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |