| NPI | 1548705692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA HARRIS-MCKOY Owner 512-317-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 202145) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |