| NPI | 1871236810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA K BURTON Owner/Manager 936-414-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-18 |