| NPI | 1114462389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON FULTON COO 512-202-3686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: TX 10171) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 101Y00000X Counselor | |
| Enumeration Date | 2016-12-27 |
| Last Update Date | 2023-01-19 |