| NPI | 1346629144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA BALL Executive Director 936-900-8566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 3840-3841) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2015-05-26 |