| NPI | 1780992925 |
|---|---|
| Doing Business As | LA MANCION DEVELOPMENTAL WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | ZAHRA LILLIE TAAT CEO 713-860-8383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2011-10-03 |