| NPI | 1215296280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLINOR L NIXON Director 409-350-8137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 133V00000X Dietitian, Registered | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 133VN1006X Dietitian, Registered, Nutrition, Metabolic | |
| 2084P0005X Psychiatry & Neurology, Neurodevelopmental Disabilities | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |