| NPI | 1790002749 |
|---|---|
| Doing Business As | VITAL CARE WEST |
| Entity Type | Organization |
| Authorized Contact | STACY C HAYWOOD Owner 832-265-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-04-30 |