| NPI | 1942763594 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNIKA BLATE Administrator 281-674-8568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2024-04-09 |