| NPI | 1184055659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN MORENO Clinical Social Worker 915-772-1829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: TX 20579) |
| Enumeration Date | 2013-12-09 |
| Last Update Date | 2016-12-14 |