NPI | 1841334414 |
---|---|
Entity Type | Organization |
Authorized Contact | ARCHER K TULLIDGE Owner 281-290-8730 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX K1944) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2007-12-10 |