| NPI | 1881872414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWENDOLYN A GIBBS Registered Agent 832-818-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2008-02-06 |