| NPI | 1639426372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE HAYES Co Director 512-201-4501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 37929) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |