| NPI | 1346377579 |
|---|---|
| Other Name | ATCMHMR MR SERVICE COORDINATION |
| Entity Type | Organization |
| Authorized Contact | JAMES RUSSEL VAN NORMAN Medical Director 512-440-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 251S00000X | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-09-21 |