| NPI | 1477952323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK COHN Director/CEO 512-300-9761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 18291) |
| Enumeration Date | 2014-08-16 |
| Last Update Date | 2014-12-17 |