| NPI | 1174763296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENE ASHLOCK President 512-520-2543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2012-04-13 |