| NPI | 1659683571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA ROLAND Director 512-259-6665 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: TX 9) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: CA 74653) |
| 174400000X Specialist (Licence: CA 74653) | |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2022-07-21 |