| NPI | 1912954058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELEN ALDERETE Credentialing Contracting Superviso 281-239-1443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist | |
| 1223G0001X Dentist, General Practice | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-09-28 |