CENTRAL TEXAS GERIATRIC BEHAVIORAL HEALTH

AUSTIN, TX
NPI1316370562
Entity TypeOrganization
Authorized ContactJOSEPH SLADE BOSARGE
CEO
512-680-3013
Organization Subpart ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: TX  34161)
Enumeration Date2013-08-12
Last Update Date2013-08-12
Business Address
CENTRAL TEXAS GERIATRIC BEHAVIORAL HEALTH
2504 RAE DELL AVE
AUSTIN, TX 78704-4735
Phone number: 512-284-3712
Mailing Address
CENTRAL TEXAS GERIATRIC BEHAVIORAL HEALTH
2504 RAE DELL AVE
AUSTIN, TX 78704-4735
Phone number: 512-284-3712