| NPI | 1992184394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BAKER Comptroller 936-633-5668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-05-19 |