| NPI | 1962155739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUBUKOLA KOMOLAFE Medical Director 832-542-3181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251300000X Local Education Agency (LEA) |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251G00000X Hospice Care, Community Based | |
| 251K00000X Public Health or Welfare | |
| 251T00000X PACE Provider Organization | |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2022-02-01 |