| NPI | 1912494063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS J GUERRERO President 832-244-6649 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 251B00000X Case Management |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2018-04-15 |
| Last Update Date | 2018-04-15 |