| NPI | 1902331234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ROE HAUCK Therapist 281-639-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 69394) |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |