| NPI | 1083949903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM BROWN Interim President 254-753-0181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 3571) |
| 103TS0200X Psychologist, School (Licence: TX 30212) | |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 164X00000X Licensed Vocational Nurse | |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2010-05-25 |