| NPI | 1891150884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA TRAN CONNER Owner 832-677-2990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 11212290) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-18 |