| NPI | 1629498993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICK TREADWAY-TERAN Executive Officer 512-430-0540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: TX 201227) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: CA 40138) |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: TX 201227) | |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-24 |