| NPI | 1912310541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HYLTON V THOMPSON Alte RN Ate Administrator 832-551-4501 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 016207) |
| Enumeration Date | 2014-06-11 |
| Last Update Date | 2014-06-11 |