| NPI | 1932913613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN M. SKORA Director Revenue Cycle 713-397-6856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2025-02-04 |
| Last Update Date | 2025-02-04 |