| NPI | 1790143030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA KAY AUSTIN Owner 281-433-4649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 15135) |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |