NPI | 1972200251 |
---|---|
Entity Type | Organization |
Authorized Contact | BRITTNEY RUSSO President 281-607-1370 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2023-02-08 |
Last Update Date | 2023-02-08 |