| NPI | 1497120943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHAN DEAN FITCH Co Owner 830-377-4952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |