| NPI | 1194044438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINGER LEEANNE GRAY President 210-573-5034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 30734) |
| Enumeration Date | 2010-05-26 |
| Last Update Date | 2010-05-26 |