| NPI | 1205105236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY CHRISTINA SANDERSON Sole Member 210-381-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 66479) |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2011-12-20 |