| NPI | 1245604545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL SHELTON Clinical Director 512-468-9789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15384) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |