| 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 |