| NPI | 1215034426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY MATTHEWS CEO 512-451-0961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: TX 0056CM) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2012-07-25 |