| NPI | 1962949321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA NICOLE FORCH Owner 713-320-2754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251C00000X |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |