| NPI | 1316275670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN A. MILAN Director 512-589-5164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 22002) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |