| NPI | 1104117902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA D SMITH CEO 512-633-9071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health (Licence: TX 14312) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: TX 14312) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |