| NPI | 1205626348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN ANDREW BIESTERFELD Owner/Operator 254-644-0589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 163WC1500X Registered Nurse, Community Health | |
| 163WH0200X Registered Nurse, Home Health | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-08-19 |