| NPI | 1942061395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLAVIA THOMAS Owner 832-358-4820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-23 |