| NPI | 1790179398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN QUINTAVELL RADCLIFFE CEO 832-848-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine Addiction Medicine (Licence: TX P1391) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |