NPI | 1356160915 |
---|---|
Entity Type | Organization |
Authorized Contact | BISRAT MESFIN Medical Director 512-947-2747 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2024-10-09 |
Last Update Date | 2024-10-09 |