| NPI | 1477986867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEWART GALLAS Owner 512-349-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 15917) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |