| NPI | 1275983553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA FUDGE Executive Director 830-257-3009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 67171) |
| Enumeration Date | 2016-06-16 |
| Last Update Date | 2016-06-16 |