| NPI | 1326165622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CILLY JORDAN Executive Director 512-217-6072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 19069) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 98981) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2007-11-28 |