| NPI | 1487849741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA ELIZABETH SEAMON Owner 512-716-0001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 17882) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |