| NPI | 1669802997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M SNEAD Credentialing Officer 830-792-3300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: TX 62054) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |