| NPI | 1992438717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA NORRIS- DECKARD Owner 832-672-4739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2022-07-08 |