| NPI | 1811367733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MOORE Behavior Analyst 281-883-9594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 1-13-14647) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |