| NPI | 1992318992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP A SANGER Owner 832-439-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2024-10-31 |