| NPI | 1134411473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA VILLARREAL President 409-762-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX GO239) |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |