| NPI | 1376859397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN JORDAN CORRAL Social Worker 915-630-7379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 30836) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |