| NPI | 1962879528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRY PICKROM Chief Executive Officer 832-517-5901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 305S00000X Point of Service |
| Enumeration Date | 2015-08-29 |
| Last Update Date | 2021-04-07 |