NPI | 1962155739 |
---|---|
Entity Type | Organization |
Authorized Contact | OLUBUKOLA KOMOLAFE Medical Director 832-542-3181 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
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 |