| NPI | 1316830151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYCE KINNAIRD President 915-252-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 251B00000X Case Management | |
| 251V00000X Voluntary or Charitable | |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2026-05-23 |