| NPI | 1932432614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALDINE WILSON Medical Director 281-397-6745 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: TX 641578) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2009-09-11 |