| NPI | 1235616566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA WALLACE Program Director, Ppi/Padre 512-869-2571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |