| NPI | 1346409471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY CALDWELL Behavioral Medical Consultant 512-773-1279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 17485) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2012-01-25 |