| NPI | 1962920389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALLACE HARRIS Director 281-683-5053 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 251E00000X Home Health |
| 251S00000X Community/Behavioral Health | |
| 252Y00000X Early Intervention Provider Agency | |
| 310400000X Assisted Living Facility | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |