| NPI | 1770210064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W PARK CEO 832-850-2980 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-05 |