| NPI | 1881976058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA PHILLIPS Director Of Operations 832-309-9664 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QA0600X Clinic/Center, Adult Day Care | |
| 310400000X Assisted Living Facility | |
| 311ZA0620X Custodial Care Facility, Adult Care Home | |
| 261QV0200X Clinic/Center, VA | |
| 251V00000X Voluntary or Charitable | |
| 251S00000X | |
| 302R00000X Health Maintenance Organization | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |