| NPI | 1124458716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M BECKHAM Director 512-762-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 62828) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |