| NPI | 1184669145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J KRUZICH CEO, Owner 915-566-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: TX 564-A) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2020-08-22 |