| NPI | 1518234194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARI SUZETTE DEMPSEY Owner 210-289-8405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 63113) |
| Enumeration Date | 2011-11-25 |
| Last Update Date | 2011-11-25 |