NPI | 1932542339 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA GORE President 281-574-4226 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Additional Taxonomies | 251S00000X |
261Q00000X Clinic/Center | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
261QM0850X Clinic/Center, Adult Mental Health | |
Enumeration Date | 2013-04-16 |
Last Update Date | 2017-10-09 |