| NPI | 1972909646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEITA D WHITE Executive Director 713-636-2964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 36483655) |
| Additional Taxonomies | 251B00000X Case Management (Licence: TX 36483655) |
| 251S00000X (Licence: TX 36483655) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 36483655) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX 368483655) | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: TX 36483655) | |
| 261QR0400X Clinic/Center, Rehabilitation (Licence: TX 36483655) | |
| Enumeration Date | 2014-11-07 |
| Last Update Date | 2014-11-07 |