| NPI | 1790011997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA A OKORONKWO Administrator 832-206-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-12-08 |