| NPI | 1982488359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAMEKA GRAY Member 281-788-0401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2023-08-24 |
| Last Update Date | 2023-08-24 |