| NPI | 1992597702 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOANNA RUIZ Sole Member 832-850-4313 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | 
| Enumeration Date | 2025-05-19 | 
| Last Update Date | 2025-08-11 |