| NPI | 1922483312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARED HEATHMAN Owner 281-849-4080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2021-11-17 |