| NPI | 1548273873 |
|---|---|
| Doing Business As | WACO CENTER FOR YOUTH |
| Entity Type | Organization |
| Authorized Contact | JANA JOHNSON Accountant Iii 512-206-5284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 183500000X Pharmacist | |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| 208000000X Pediatrics | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 364S00000X Clinical Nurse Specialist | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2017-08-25 |