| NPI | 1932573003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKISHA NICOLE ALLEN CEO 409-351-3211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 251S00000X | |
| 252Y00000X Early Intervention Provider Agency | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 385H00000X Respite Care | |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2015-11-30 |