| NPI | 1972158871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIMBOLA OLADUNNI DUYILEMI Administrator 832-672-1956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-07 |