| NPI | 1093922791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA GADNEY Clinical Director 915-351-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 19551) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2026-08-07 |