| NPI | 1245668797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL BECKHAM Director 512-762-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 62828) |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |